Date ______________________
Designated School Official
Office of International Student Services
Pepperdine University
Malibu, CA 90263-4246
Dear Designated School Official:
This is to certify that ____________________________ has been offered a position at________________________.
The following information is provided in compliance with the rules governing “optional practical
training” for students in F-1 visa status.
Employer identification number ___ ___ - ___ ___ ___ ___ ___ ___ ___
Address of the job site ________________________________________________________________________________________
Job title _________________________________________________________________________________________________________
Employment start date ______ /______ /______ Employment end date ______ /______ /______
Part time (at least 20 hours/week required ) Full time (more than 20 hours/week)
Supervisor's first name __________________________________ Last name _____________________________________
Phone number _____________________________________ Email ________________________________________________
Explanation of duties and how they are directly related to student’s major at Pepperdine.
Any changes or updates to this information will be provided in writing.
Sincerely,
Name ___________________________________________
Title ____________________________________________
